Natural orifice transluminal endoscopic surgery (NOTES)

Meining, Alexander

doi:10.1055/s-0031-1291873

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…Safe closure technique is still the main issue in NOTES research, and has been defined as one of the major priorities by many authorities [10, 11]. The ideal closure method should be easy to use, safe and effective.…”

Section: Discussionmentioning

confidence: 99%

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Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment.

Ryska

Martínek²,

Filipkova³

et al. 2012

Videosurgery and Other Miniinvasive Techniques

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IntroductionA safe closure technique of transluminal access is essential for the widespread application of natural orifice transluminal endoscopic surgery (NOTES).AimTo evaluate the feasibility and effectiveness of a novel single loop-and-clips closure technique (KING closure).Material and methodsAn experimental survival study using female laboratory pigs was performed. A gastrotomy was performed using a standard percutaneous endoscopic gastrostomy technique. A peritoneoscopy with an ovariectomy was then performed with a double-channel endoscope, on a total of 14 pigs. Two different techniques of gastrotomy closure were analysed: a loop-and-clips closure technique (n = 7) and a standard closure using endoclips (n = 7). After a follow-up period of 30 days, the animals were euthanized for post-mortem examination.ResultsIn the “loop-and-clip” closure group, the correct placement of an endoloop and clips was achieved in all animals. At necropsy, no animal showed signs of an abscess or peritonitis. Histological examination demonstrated a patent full-thickness gastric wall closure without evidence of local complications in all instances. In the “clips” group, the gastrotomy closure was assessed as probably unsafe in three animals. At necropsy 3 (42.9%) abscesses and 1 (14.3%) case of peritonitis were found.ConclusionsA single loop-and-clips closure technique (KING closure) represents a feasible, simple and effective method of gastric incision closure. It appears to be superior to the standard endoscopic closure technique using clips.

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Section: Discussionmentioning

confidence: 99%

“…Our study was unique in that it tested a novel closure technique in a real NOTES intervention (ovariectomy) and not in a simple peritoneoscopy as has been the case in earlier endoloop-based studies [6, 11]. …”

Section: Discussionmentioning

confidence: 99%

Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment.

Ryska

Martínek²,

Filipkova³

et al. 2012

Videosurgery and Other Miniinvasive Techniques

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show abstract

“…Nevertheless, a future application of robotics in endoscopy has been nicely demonstrated by the authors and further innovations and developments based on the MASTER can be expected soon. Peroral endoscopic myotomy (POEM) is a new concept of minimal invasive endoscopic surgery that was highlighted in last year's Endoscopy Essentials series [6]. A similar approach of submucosal endoscopy has been developed for resection of subepithelial tumors in the esophagus and gastric cardia.…”

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confidence: 99%

Innovations and NOTES

Meining

2013

Endoscopy

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“…Although it seems to be a common sense that 3D imaging is likely to make endoscopic tasks easier, ESD is sufficient with conventional endoscope as mentioned in the article. Also, transgastric NOTES approaches have only been applied sparsely in patients due to concerns over secure endoluminal closure devices and infectious issues 3. In addition, the benefits of 3D imaging still remain unsettled in laparoscopic surgery 4.…”

mentioning

confidence: 99%

The Evolution of the Conventional Endoscope in an Era of 3-Dimensional Technology

Song

2012

Clin Endosc

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Natural orifice transluminal endoscopic surgery (NOTES)

Cited by 5 publications

References 13 publications

Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment.

Single loop-and-clips technique (KING closure) for gastrotomy closure after transgastric ovariectomy: a survival experiment.

Innovations and NOTES

The Evolution of the Conventional Endoscope in an Era of 3-Dimensional Technology

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